| NPI | 1275994766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NGUYEN Owner 305-962-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 281777) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2022-12-12 |